Grievance

Complaint Title*

First Name *

Gender

Email *

Phone Number *

Pin code

Address *

Complaint Location

Area

Street

Specific Location

You may select complaint types from "frequently filled complaint " or "Master List" given below

Street Light

Grabage

Road and Footpath

Water/Electricity

Water Stagnation

Strom Water Drains

Walk Ways

Parking Vehicles

Other

Please Specify Other type

Details of Complaint (Should not exceed 400 character)* Characters remaining: 400

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